2026 PRAYER MOUNTAIN CONSENT FORM

2026 PRAYER MOUNTAIN CONSENT FORM

Share your details, emergency contact, allergies, and consent preferences for the retreat.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Are you an official member of Kingdom Advancers Global?

EMERGENCY
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any allergies?
If yes, Please describe ( Peanuts, Medications, etc.)
Do you have any medical conditions we should be aware of?
If yes, please explain
In the event of a medical emergency, is there anything specific you would like us to know or do?(For example, administer an EpiPen, use an inhaler, or follow any other medical instructions.) If no please put N/A

DELIVERANCE
Do you give your consent to receive the laying on of hands, as directed by the leading of the Holy Spirit during deliverance ministry, by appointed ministers of this ministry?

PHOTOGRAPHY
During Prayer Mountain, a trained photographer and media team will be capturing photos and videos of the experience for ministry purposes, including promotional and archival content. Do you consent to being photographed and/or recorded during the event?

ENGAGEMENT
Are you willing to participate in scheduled prayer, worship, watches, Bible study, and group activities throughout the retreat?
Are you willing to participate in the assigned fast and consecration period leading up and during Prayer Mountain?

CONSENT & AGREEMENT
By signing below, I acknowledge that I have read, understood, and agree to the information provided in this form. I voluntarily consent to participate in Prayer Mountain activities, including prayer ministry, worship, teaching, and any other scheduled experiences. I understand that participation is voluntary and agree to honor the guidelines and expectations of the ministry.
Should be Empty:

EMERGENCY